Know the Matters Related to Oral Surgery

 

Oral surgery is a surgical action to treat oral disorders. Through this procedure, abnormalities that occur in the jaw, either upper or lower jaw , can also be handled . In addition, b Oral mouth can also deal with abnormalities that occur in teeth and gums.

Know the Matters Related to Oral Surgery

Oral surgery is performed by a dental surgeon. The scope of the disease handled and the procedures performed by oral surgeons are numerous. However, the most common, among other things, is:

  • Dental implants. Dental implants are surgical procedures aimed at replacing lost tooth and tooth roots with artificial tooth (implanted) roots planted into the gums. With the embedded root of the teeth, the patient can replace the missing tooth with the artificial teeth that will stick to the implant. Dentures and dental implants will function like real teeth, and can last longer than dentures.
  • Wisdom teeth surgery. The youngest tooth is the wisdom teeth located at the back of the mouth, and will generally grow at the age of 17-25 years. Wisdom tooth surgery aims to extract the wisdom teeth trapped in the gums (impaction), grow in the wrong direction, or the jawbone of the patient does not have sufficient space for the growth of wisdom teeth. With wisdom tooth surgery, the patient will be spared from various complications caused by wisdom teeth that grow incorrectly, such as infection, cysts, and gum disease. Jaw surgery aims to correct abnormalities of the patient's jaw, either maxillary or maxillary (mandibular). With jaw surgery, the jawbone and teeth can be positioned to work better, especially dental or jaw abnormalities that can not be handled through orthodontic surgery. Jaw surgery can also improve the shape of the patient's face.

Indications of Oral Surgery

Patients will be recommended to undergo oral surgery if they have a specific disease. Patients undergoing jaw surgery are patients who have a disease or condition, such as:

  • Abnormalities of the jaw, such as prominent jaw ( protruding jaw ).
  • Headaches that interfere with daily activities due to jaw deformity.
  • Chewing and talking disorders, such as overbite, underbite and crossbite.
  • Sleep disturbance ( sleep apnea ) caused by respiratory tract obstruction due to abnormal jaw shape

Patients may undergo surgery wisdom teeth when having a disease or condition, such as:

  • Wisdom teeth Impact
  • Suffering from gum disease
  • Dental cavities in wisdom teeth
  • The wisdom teeth that grow in incorrect positions
  • The incidence of cysts or abscesses in the gums around the wisdom tooth.
  • The occurrence of cellulitis on the cheek, tongue, or throat

For dental implants, patients who have one or more dated teeth can undergo dental implants. However, the action of dental implants has requirements, including:

  • Having healthy gum tissue and mouth.
  • Having a healthy and strong jaw bone, and allowing for a bone graft .

Warning Mouth Surgery

Not all patients can undergo oral surgical procedures. Some conditions may cause a patient to be unable to undergo oral surgery because it may result in postoperative complications.

A patient is not allowed to undergo dental implants if:

  • Diabetes or illness heart
  • Underwent radiotherapy in the neck or head area
  • Is a heavy smoker
  • Has no gums and jawbone sufficiently healthy to have dental implants .

Wisdom teeth surgery also has some conditions that cause patients to be discontinued or delayed for the youngest dental surgery, and if kept running, need special treatment and supervision from the doctor. Some of these conditions are:

  • Occurrence of infection in the tooth to be operated.
  • History of radiotherapy on the tooth that will undergo surgery.
  • Diabetes.
  • Suffer from advanced liver or kidney disease.
  • Hypertension.
  • Lymphoma
  • Suffering from blood clotting disorders, such as hemophilia.
  • First or last trimester pregnancy.

Just like the wisdom tooth surgery, jaw surgery also has some conditions that cause the patient to be given special treatment or supervision during surgery to prevent complications. Some of these conditions include:

  • Patients who have poor oral hygiene.
  • Blood disorders
  • Experiencing blood vessel disorders in the area to undergo surgery .

Preparation of Oral Surgery

Before undergoing oral surgery, the patient will undergo prior examination as part of the patient preparation prior to surgery. This includes scanning the condition of the mouth and teeth with a dental X-ray, CT scan, or MRI, as well as making a patient's mouth and teeth model based on the scan. Patients undergoing jaw surgery will be paired with braces from 12 to 18 months prior to surgery, to adjust the position of the teeth to fit the surgical jaw.

If the patient needs a bone graft, especially for dental implant surgery, the doctor will plan the taking of bone grafts with the patient. Patients undergoing infectious diseases will be given antibiotics first before undergoing surgery to prevent postoperative complications. Patients are also required to inform their health condition to the physician before undergoing surgery, including the drugs being consumed. If required, patients will be asked to stop taking the medicines several days before undergoing surgery.

Patients undergoing jaw surgery will undergo surgery with total anesthesia. Patients who will undergo dental implant surgery and wisdom tooth surgery can be given local or total anesthetic. Patients given local anesthetics can also be given sedatives to help him relax during surgery.

Oral Surgical Procedures

The patient will first be asked to change his clothing by special clothing operation. After that, the patient will be placed on the operating table with the position according to the need of action. The patient will then be given an anesthetic, either a local or a total anesthetic, and may be a sedative if necessary.

The dental implant surgery and wisdom tooth begins with the incision of the gums to open gum tissue and bone jaw. Patients undergoing wisdom tooth surgery will undergo jaw bone removal that prevents the wisdom tooth area for the youngest tooth extraction process easier. The doctor will then cut the wisdom teeth into sections and discard the wisdom teeth from the gums. Part of the gums previously occupied wisdom teeth will be cleaned to prevent infection and remove the broken teeth and jaw bone that still exists. The gums are then sewn by sewing threads that can blend with the gums. If necessary, the doctor will put a bandage on the gums to help stop the bleeding and help restore the gums.

Unlike the wisdom tooth surgery that generally takes place in a day, dental implant surgery usually lasts several times and on different days- different. The first step is to remove the roots of the teeth from the gums to provide a dental implant installation space on the jawbone. After that, the dental implant will be attached to the jaw bone that can be preceded by a jaw bone graft or not.

If the dental implant is already attached to the jaw bone through an osseointegration process, embedded will be fitted with abutment as the link between a dental implant with a denture crown. The dental crown will then be installed on abutment as the final step of dental implant installation. The time lag between one stage and the other at the dental implant can last for several weeks to several months, as each stage must go through the recovery phase first before proceeding to the next stage. Therefore, patients who will undergo dental implant surgery must have a commitment to undergo the implant installation process for several months.

The operation of the jaw begins by making a wedge around the part of the bone to be repaired. The slices are generally made in the inside of the mouth, but the incision can also be made on the outside of the mouth if necessary. After the incision is made, the doctor will perform the jawbone reconstruction as needed, either the maxillary bone, the mandibular bone, or the bone of the chin. Reconstruction can be either cutting or bone enhancement. If bone addition is required, the patient will undergo a bone graft that can be taken from the femur, hip bone, or rib bone.

The bone that has been reshaped by cutting or adding, will be kept so that the fixed bone remains in that position, the doctor will connect it with the help of bone plate, bolt, adhesive, or wire. The bone grafting tool used will be fused to the bone so no surgery is required to retrieve the device.

After the operation is completed, the patient will be taken to a special room for recovery. Generally, patients undergoing wisdom tooth surgery and dental implants are allowed to go home after the procedure is completed. However, if necessary, patients will be required to rest first to undergo recovery. Patients undergoing jaw surgery will be taken to the recovery room before being allowed to go home. If necessary, the patient may undergo hospitalization before then undergoing an outpatient.

After Oral Surgery

The recovery period for each surgery varies by one to another. During the recovery period, patients can feel pain, swelling, and bruises in the area undergoing surgery. Patients undergoing dental implant surgery and wisdom teeth may also experience bleeding in operated gums. The doctor will administer pain medication, antibiotics, and mouthwash to use the patient during the recovery period. To relieve swelling and bruising, the patient can compress the bruised area using cold or icy water.

The patient should rest and avoid severe physical activity for several days after undergoing surgery. Foods that should be consumed by patients during the recovery period are soft foods, not hard, not spicy, and not hot because it can cause surgical wounds to become sick. Patients are encouraged to drink plenty of water during the recovery period and avoid carbonated, caffeinated or alcoholic beverages.

If tooth brushing still causes pain in the surgery area, the patient can wash his mouth with a mouthwash that doctors have given. Patients who have a smoking habit should stop smoking during recovery. If the patient is sutured with a suture thread that is not absorbed by the body, the patient will be scheduled to undergo the stitching by the doctor. The doctor will also schedule a check up to monitor the patient's recovery period.

Mouth Surgery Risks

Some of the risks of complications that can arise as a result of oral surgery include:

  • Bleeding
  • Damage to the neural network
  • Infection
  • Jaw fracture .
  • Loss of the jaw bone
  • The jawbone returns to its preoperative position
  • Jaw joint pain
  • Injury to the tissue around the gums, especially blood vessels and nerve tissue.
  • Disorders of the sinuses, especially if surgery is performed on the jaw or upper gum.

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